vSim MEDICAL SCENARIO: Vincent Brody (Patient)
Patient Introduction
Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours ago for exacerbation of his chronic obstructive pulmonary disease (COPD). He is maintaining O2 saturations at 94% on 2 L/min of oxygen per nasal cannula. IV of potassium chloride in 5% dextrose and normal saline is infusing at 100 mL/hr in his right hand. He has responded well to medications and treatments and appears to be resting. He continues to have a productive cough. Patient has a 50-year history of smoking 2 packs a day. During the last year he has had two exacerbations. Physical findings include a barrel chest and clubbed fingers.
Medical-Surgical Nursing Care
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 14th Edition
Chronic Obstructive Pulmonary Disease, Chapter 24, pp. 634-648
Pneumothorax, Chapter 23, pp. 629-631
Chest Drainage, Chapter 21, pp. 540-542
Oxygen Therapy, Chapter 21, pp. 511-516
Respiratory Assessment, Chapter 20, pp. 480-508
Diagnostics
Expert Clinical Content from Lippincott Advisor
Arterial blood gas analysis Arterial blood gas analysis
Pharmacology
Expert Clinical Content from Lippincott Advisor
Albuterol sulfate Albuterol sulfate
QUESTIONS TO BE ANSWERED:
Evaluation: vSim Reflection #2
Guide for Using Tanner’s Clinical Judgment Model
Journaling is a strategy designed to promote critical thinking and the development of reflective practitioners. The journal is not meant to be a narrative account of what took place, but rather a reflection on the situation that occurred at clinical and your response.
1.
INTRODUCTION & BACKGROUND
Briefly describe the scenario that you encountered in 2-3 sentences.
Describe the formal knowledge or previous experience you have had with similar problems that helped guide you in this situation.
Describe any emotions you had about the situation
2.
NOTICING
What were the cues or subjective/objective data you identified that affected your response?
Did you miss any pertinent cues that could have changed the outcome?
3.
INTERPRETING
Describe what you thought of the situation.
What did your observations and data interpretation lead you to believe?
4.
RESPONDING
What was your nursing response to the situation and was it appropriate?
How do you feel you responded to the family member?
Do you think the family member felt confident of the care you provided?
Were you able to effectively communicate your needs to the physician?
REFLECTION
What would you do differently if you encountered this situation again?
Did you have any predictions about what was going to happen? If so, did it affect your critical thinking ability either positively or negatively?
What knowledge and skills do you think you still need?
Describe any changes in your values or feelings as a result of this experience.
Last Completed Projects
| topic title | academic level | Writer | delivered |
|---|